Kong, Carl Cheung Tung
Kong, Carl Cheung Tung is an individual health care provider with primary practice located at 6122 Whittier Blvd , Los Angeles CA 90022-4504. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kong, Carl Cheung Tung can be contacted via phone (323) 725-1250.Contact Information
Primary practice address
6122 Whittier Blvd
Los Angeles CA 90022-4504
Phone: (323) 725-1250
Fax: (323) 726-9091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHY30457 | California |
Profile Details
| NPI number | 1861470155 |
|---|---|
| LBN Legal business name | Kong, Carl Cheung Tung |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861470155 | NPPES |
| California | MEDICAID | PHA304570 |
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